Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | A160677 | CA |
Y | 208800000X | Urologist | S5084 | TX |
NPI | 1033553409 |
---|---|
Provider Name | Andrew Yang Sun |
First Address | Arlington, TX 76017-5996 |
Second Address | Arlington, TX 76017-5996 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2013 |
Last Update Date | 05/01/2022 |